Communication Efficiency in a Face Transplant Recipient: Determinants and Therapeutic Implications

Dina Levy-Lambert, Maria I. Grigos, Étoile Leblanc, Evellyn M. Demitchell-Rodriguez, Daphney Y. Noel, Allyson R. Alfonso, Elie P. Ramly, William J. Rifkin, J. Rodrigo Diaz-Siso, Daniel J. Ceradini, Rami S. Kantar, Eduardo D. Rodriguez

Research output: Contribution to journalArticlepeer-review

Abstract

We longitudinally assessed speech intelligibility (percent words correct/pwc), communication efficiency (intelligible words per minute/iwpm), temporal control markers (speech and pause coefficients of variation), and formant frequencies associated with lip motion in a 41-year-old face transplant recipient. Pwc and iwpm at 13 months post-transplantation were both higher than preoperative values. Multivariate regression demonstrated that temporal markers and all formant frequencies associated with lip motion were significant predictors (P < 0.05) of communication efficiency, highlighting the interplay of these variables in generating intelligible and effective speech. These findings can guide us in developing personalized rehabilitative approaches in face transplant recipients for optimal speech outcomes.

Original languageEnglish (US)
Pages (from-to)E528-E530
JournalJournal of Craniofacial Surgery
Volume31
Issue number6
DOIs
StatePublished - Sep 1 2020

Keywords

  • communication efficiency
  • face transplantation
  • functional outcomes
  • speech therapy
  • vascularized composite allotransplantation

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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